Surgical perspectives of symptomatic omphalomesenteric duct remnants: Differences between infancy and beyond

Table 1 Patient characteristics

	Total (n = 35)1	Infants (n = 7)1	Children beyond infancy (n = 28)1	P value
Gender				0.180
Male	27 (77.1)	4 (57.1)	23 (82.1)
Female	8 (22.9)	3 (42.9)	5 (17.9)
Male:female ratio	3.4:1	1.3:1	4.6:1
Delivery				0.170
NSVD	22 (62.9)	6 (85.7)	16 (57.1)
Caesarean section	13 (37.1)	1 (14.3)	12 (42.9)
Preterm				0.171
Preterm	4 (11.4)	2 (28.6)	2 (7.1)
Full term	31 (88.6)	5 (71.4)	26 (92.9)
Weight (kg)
Birth	3.40 ± 0.51	3.18 ± 0.34	3.41 ± 0.55	0.825
	(2.23–4.30)	(2.90–3.73)	(2.23–4.30)
Operation	18.40 ± 21.53	6.64 ± 2.17	22.55 ± 21.39	N/A
	(2.95–77.45)	(2.95–8.85)	(7.25–77.45)
Age (mo)				N/A
Symptom onset	53.0 ± 67.3	2.3 ± 4.2	85.4 ± 65.1
	(0–201)	(0–11)	(0–201)
Diagnosis	53.2 ± 65.9	2.4 ± 4.2	85.6 ± 62.5
	(0–202)	(0–11)	(12–202)
Operation	53.3 ± 65.9	2.6 ± 4.2	85.8 ± 62.5
	(0–202)	(0–11)	(12–202)
Symptomatic duration (d)	3.0 ± 292.0	7.0 ± 3.9	3.0 ± 325.1	0.246
	(1–1540)	(2–12)	(1–1540)

¹Data is presented as the median ± SD or n (%). NSVD: Normal spontaneous vaginal delivery.

Table 2 Clinical types and features of omphalomesenteric duct remnants

	Total (n = 35)1	Infant (n = 7)1	Children beyond infancy (n = 28)1	P value
Clinical type				0.006
MD	31 (88.6)	4 (57.1)	27 (96.4)
Patent duct	2 (5.7)	2 (28.6)	0
Duct cyst	2 (5.7)	1 (14.3)	1 (3.6)
Umbilical polyp	0	0	0
Fibrous cord	0	0	0
Clinical features2
Hematochezia	20 (57.1)	2 (28.6)	18 (64.3)	0.101
Abdominal pain	12 (34.3)	0	12 (42.9)	0.036
Fever	11 (31.4)	2 (28.6)	9 (32.1)	0.619
Bilous vomiting	8 (22.9)	1 (14.3)	7 (25.0)	0.484
Umbilical lesion	7 (20.0)	4 (57.1)	3 (10.7)	0.018
Abdominal distension	4 (11.4)	1 (14.3)	3 (10.7)	0.609
Diarrhea	3 (8.6)	1 (14.3)	2 (7.1)	0.499
Ectopic mucosa (in MD)				0.283
Gastric	13 (41.9)	0	13 (48.1)
Pancreatic	3 (9.7)	1 (25.0)	2 (7.4)
Coexistent	2 (6.5)	0	2 (7.4)
Absent	1 (3.2)	0	1 (3.7)
Not mentioned	12 (38.7)	3 (75.0)	9 (33.3)

¹Data is presented as the median ± SD or n (%).

²Multiple symptoms were presented in some patients.

MD: Meckel’s diverticulum.

Table 3 Characteristics of surgical procedure

	Total (n = 35)1	Infant (n = 7)1	Children beyond infancy (n = 28)1	P value
Time (min)	80.0 ± 34.1 (15-205)	78.0 ± 25.7 (45-120)	80.0 ± 35.3 (15-205)	0.171
Operative method				0.278
Segmental resection of small bowel	24 (68.6)	4 (57.1)	20 (71.4)
Diverticulectomy	7 (20.0)	1 (14.3)	6 (21.4)
OMDR resection only	4 (11.4)	2 (28.6)	2 (7.1)
Minimal invasive surgery				0.016
Open	15 (42.9)	6 (85.7)	9 (32.1)
Laparoscopic	20 (57.1)	1 (14.3)	19 (67.9)
Single port (SILS)	15 (42.9)	1 (14.3)	14 (50.0)
Multiport	5 (14.3)	0	5 (17.9)

¹Data is presented as the median ± SD or n (%). OMDR: Omphalomesenteric duct remnants; SILS: Single-incision laparoscopic surgery.